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DR. MARK EDGAR PETTAY D.C.
NPI 1407979313
Chiropractor in Groveport, OH

Active since April 06, 2007
495 MAIN ST, SUITE D, GROVEPORT, OH 43125(614) 836-7227(614) 836-3038 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark Edgar Pettay D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARK EDGAR PETTAY D.C. (NPI 1407979313) is an individual chiropractor in Groveport, Ohio, licensed in Ohio (1755) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1407979313
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. MARK EDGAR PETTAYCredential: D.C.
Location Address495 MAIN ST, SUITE DGroveport, OH 43125-1184
Mailing Address495 Main St, Suite DGroveport, OH 43125-1184 · (614) 836-7227 · Fax (614) 836-3038
Phone(614) 836-7227
Fax(614) 836-3038
Sole ProprietorNo
Enumeration DateApril 6, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407979313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in OH · 1755
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
495 MAIN ST, Groveport, OH 43125
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Other Identifiers 1

Other311462245OH · Tax Id

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RICHARD N. MCCARTY, INC.
Family Medicine
495 MAIN ST
GROVEPORT, OH 43125
Franklin County (614) 836-3711

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Pettay's NPI number?

The NPI number for Mark Pettay is 1407979313. It was assigned to this individual provider in the NPPES registry on April 6, 2007.

Where is Mark Pettay located?

Mark Pettay practices at 495 Main St Suite D, Groveport, OH 43125. The listed phone number is (614) 836-7227.

What is Mark Pettay's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Mark Pettay was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.